Homestead_Richeson Y H. PREPARE/2
Preparer of the Sales Disclosure Form i Title
Milton Norman t Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code) -
25 NW Riverside Drive,Suite 310,Evansville.IN 47708
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document SeNer 2-Name as appears on conveyance document
Nancy S.Coleman n/k/a Nancy S.Woolsey.surviving tenant by the entire
Address(number and street) Address(number and street)
721 S 1300 E
City,State,and ZIP Code City,State,and ZIP Code
Oakland City.IN 47660
Country Country
US
Email Address
required by law,and is prepared In accordance with IC 6-1.15.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
Signature of Seller J Signature of SeNer
‘1.-"I `7�, � _ 4 ti yCZ)lei 45..�,t-t,
Printed Name of Salle Date Sig
) Printed Name of Seller Signed(mm/dd/yyyy)
ci Nancy S.Coleman n/k/a Nancy S.Wool: 0 T f -- —
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTII ap LL L
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as It appears on pe docu
Corbin R.Richeson I
Address(number and street) Address(numbera ��25
127 W Cherry St `SOti J
City,State,and ZIP Code City.State,and ZIP Code C'Oo
Oakland City,IN 47660 T),
Country Country N(i/)
US _• 0;;
deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
MI1.Will this property be the buyer's primary : tX 0 3.Homestead
residence? Q IXI 4.Solar Energy Heating or Cooling System
X2.Does the buyer have a homestead to be vacated 0 CM 5.Wind Power Device
for this residence?If yes,provide address: p (X) 6.Hydroelectric Power Device
Address(number and street) Q C20 7_Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code Count ��_l 1` L L ' -t✓
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
as required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of